Nicole M. Interlini, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC01202 Issued in RI

Practice address

501 Wampanoag TRL Unit 400
Riverside, RI 02915-1507

Phone

(401) 785-0040

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child and Family Psychiatry, Inc.

  dba LifeStance Health

  • Psychiatry Physician
  • Warwick, RI
  • NPI 1760863229

  Mental Health

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1528651650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WAMPANOAG TRL UNIT 400",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151507",
            "telephone_number": "401-785-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Marblehead Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044240",
            "country_code": "US",
            "telephone_number": "401-465-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INTERLINI",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noor Ibrahim, LICSW
• Infusion Resource, LLC (Care Resource)
• Infusion Resource, LLC
• Infusion Services of Northern Massachusetts Inc (Vital Care of Providence RI)
• Innovative Therapeutics of Rhode Island LLC
• Island Health and Rehab LLC
• Albert Jacavone, RN
• Kim Jardin, RN
• Jennifer W. Jencks, PH.D.
• Jennifer Jeremiah, MD

• Mental Health Counselor in Riverside, RI
• Providers in Riverside, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.